SINGLE TASK EVALUATION TASK TITLE MISSION SAFETY INSPECTION TASK NUMBER C- 2 SCORE (Check One Only) ITEM PERFORMANCE STEP DESCRIPTION PASS Fail 1 Preliminary check: P F a. List at least three different sources for current weather information. P F b. Explain to the evaluator what areas you are evaluating in your initial assessment & why P F c. Using the facility provided, is the facility suitable for safe operation? P F 2 Perform an inspection according to the checklist in CAPR 62-1 & determine any safety issue P F that might impact the mission facility. P F 3 Find the closest emergency room and emergency numbers for the area of the facilities. P F 4 Develop an evacuation plan for the facility. P F P F P F P F P F P F P F P F P F STUDENT'S NAME & CAPID TASK STATUS PASS EVALUATOR'S NAME & CAPID TITLE EVALUATOR'S SIGNATURE DATE CAP FORM 112, MAY 01 OPR/ROUTING: DOS
10
Embed
SINGLE TASK EVALUATION TASK TITLE MISSION SAFETY INSPECTION Preliminary … 6/documents/Mission Safety Officer... · 2006-01-18 · SINGLE TASK EVALUATION TASK TITLE MISSION SAFETY
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
SINGLE TASK EVALUATION TASK TITLE MISSION SAFETY INSPECTION
TASK NUMBER C- 2
SCORE (Check One Only) ITEM PERFORMANCE STEP DESCRIPTION PASS Fail
1
Preliminary check: P F
a. List at least three different sources for current weather information. P F
b. Explain to the evaluator what areas you are evaluating in your initial assessment & why P F
c. Using the facility provided, is the facility suitable for safe operation? P F
2
Perform an inspection according to the checklist in CAPR 62-1 & determine any safety issue P F
that might impact the mission facility. P F
3
Find the closest emergency room and emergency numbers for the area of the facilities. P F
4
Develop an evacuation plan for the facility. P F
P F
P F
P F
P F
P F
P F
P F
P F
STUDENT'S NAME & CAPID
TASK STATUS PASS
EVALUATOR'S NAME & CAPID
TITLE
EVALUATOR'S SIGNATURE DATE
CAP FORM 112, MAY 01 OPR/ROUTING: DOS
SINGLE TASK EVALUATION TASK TITLE ANALYZE SAFETY OF MISSION OPERATIONS
TASK NUMBER C- 3
SCORE (Check One Only) ITEM PERFORMANCE STEP DESCRIPTION PASS Fail
1
Provide recommendation and why for the following for the next 24 hours: P F
a. Operations from the mission base (continue, suspend, move). P F
b. Flight operations in the current search areas (continue, suspend, move) P F
c. Ground team operations in the current search areas (continue, suspend, move) P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
STUDENT'S NAME & CAPID
TASK STATUS PASS
EVALUATOR'S NAME & CAPID
TITLE
EVALUATOR'S SIGNATURE DATE
CAP FORM 112, MAY 01 OPR/ROUTING: DOS
SINGLE TASK EVALUATION TASK TITLE CONDUCT GROUND TEAM SAFETY BRIEFING
TASK NUMBER C- 4
SCORE (Check One Only) ITEM PERFORMANCE STEP DESCRIPTION PASS Fail
Using your ground team safety briefing, provide the following information: P F
1
What dangerous/poisonous animals can they expect to find in the area? P F
2
What is the expected weather and any severe weather problems expected? P F
3
What specific vehicle safety issues should they be briefed? P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
STUDENT'S NAME & CAPID
TASK STATUS PASS
EVALUATOR'S NAME & CAPID
TITLE
EVALUATOR'S SIGNATURE DATE
CAP FORM 112, MAY 01 OPR/ROUTING: DOS
SINGLE TASK EVALUATION TASK TITLE CONDUCT AIRCREW SAFETY BRIEFING
TASK NUMBER C- 5
SCORE (Check One Only) ITEM PERFORMANCE STEP DESCRIPTION PASS Fail
1
Develop an aircrew safety briefing for this mission. P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
STUDENT'S NAME & CAPID
TASK STATUS PASS
EVALUATOR'S NAME & CAPID
TITLE
EVALUATOR'S SIGNATURE DATE
CAP FORM 112, MAY 01 OPR/ROUTING: DOS
SINGLE TASK EVALUATION TASK TITLE REPORTING AND HANDLING MISHAPS INVOLVING CAP PERSONNEL
TASK NUMBER C- 6
SCORE (Check One Only) ITEM PERFORMANCE STEP DESCRIPTION PASS Fail
1
Conduct an interview and complete the incident reporting forms. P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
STUDENT'S NAME & CAPID
TASK STATUS PASS
EVALUATOR'S NAME & CAPID
TITLE
EVALUATOR'S SIGNATURE DATE
CAP FORM 112, MAY 01 OPR/ROUTING: DOS
SINGLE TASK EVALUATION TASK TITLE PREPARING SAFETY GUIDANCE FOR NON-PARTICIPANTS
TASK NUMBER C- 7
SCORE (Check One Only) ITEM PERFORMANCE STEP DESCRIPTION PASS Fail
1
Using the mission base briefing as a guide, conduct a tour and safety briefing. P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
STUDENT'S NAME & CAPID
TASK STATUS PASS
EVALUATOR'S NAME & CAPID
TITLE
EVALUATOR'S SIGNATURE DATE
CAP FORM 112, MAY 01 OPR/ROUTING: DOS
SINGLE TASK EVALUATION TASK TITLE MONITOR CREW REST, FATIGUE, AND STRESS
TASK NUMBER C- 8
SCORE (Check One Only) ITEM PERFORMANCE STEP DESCRIPTION PASS Fail
1
Describe two symptoms of fatigue. P F
2
Develop a plan to provide crew rest and maximum sorties over the required number of days. P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
STUDENT'S NAME & CAPID
TASK STATUS PASS
EVALUATOR'S NAME & CAPID
TITLE
EVALUATOR'S SIGNATURE DATE
CAP FORM 112, MAY 01 OPR/ROUTING: DOS
SINGLE TASK EVALUATION TASK TITLE DEVELOP AIRCRAFT & GROUND OPERATIONS SAFETY PLAN
TASK NUMBER P- 1001
SCORE (Check One Only) ITEM PERFORMANCE STEP DESCRIPTION PASS Fail
1
Using your aircraft ground operations briefing, answer the following: P F
a. Are there any obstructions to taxiing? P F
b. Is the area clear of FOD? P F
c. What are the current taxiway conditions? P F
d. What is the taxi plan? P F
e. What is the refueling plan? P F
f. What should be done in the case of a fuel spill? P F
g. Are current winds favorable to taxi and takeoff/landing operations? P F
2
Is the aircraft ground operation safety plan complete? P F
P F
P F
P F
P F
P F
P F
P F
STUDENT'S NAME & CAPID
TASK STATUS PASS
EVALUATOR'S NAME & CAPID
TITLE
EVALUATOR'S SIGNATURE DATE
CAP FORM 112, MAY 01 OPR/ROUTING: DOS
SINGLE TASK EVALUATION TASK TITLE Keep a Log
TASK NUMBER P- 101
SCORE (Check One Only) ITEM PERFORMANCE STEP DESCRIPTION PASS Fail
For each of the 10 event/actions the student: P F
1
Logs the time and event P F
2
Writes legibly and completely P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
P F
STUDENT'S NAME & CAPID
TASK STATUS PASS
EVALUATOR'S NAME & CAPID
TITLE
EVALUATOR'S SIGNATURE DATE
CAP FORM 112, MAY 01 OPR/ROUTING: DOS
SINGLE TASK EVALUATION TASK TITLE BASIC COMMUNICATIONS PROCEDURES FOR ES OPERATIONS
TASK NUMBER L- 0001
SCORE (Check One Only) ITEM PERFORMANCE STEP DESCRIPTION PASS Fail
1
Listen before transmitting P F
2
Demonstrate calling procedures including call signs P F
3
Demonstrate use/understanding of basic prowords P F
4
Demonstrate understanding of radio equipment including finding local repeater/simplex P F